Active NPI
John B Benton, MD
- Hospitalist Physician
- Louisville, KY
National Provider Identifier
1477545754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 41725
- Practice address
- 3950 Kresge Way Ste 308
Louisville, KY 40207-4637 - Phone
- (502) 895-8911
- Fax
- (502) 895-8977
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 41725 | KY | Primary |
| Family Medicine Physician | 207Q00000X | 41725 | KY |
Addresses
Primary practice location
3950 Kresge Way Ste 308
Louisville, KY 40207-4637
Mailing address
PO Box 9203
Belfast, ME 04915-9203
Phone (502) 895-9627
Other practice location 1
2400 Eastpoint Pkwy
Suite 550
Louisville, KY 40223-4154
Phone (502) 253-6630
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200448900 | Medicaid | IN | |
| P00049026 | Other | IN | RAILROAD MEDICARE PROV# |
| 000063095G | Other | KY | HUMANA |
| 64117005 | Medicaid | KY | |
| 000000300382 | Other | IN | ANTHEM PROV# |
| 000000548736 | Other | KY | ANTHEM |
| 352154103 | Other | UNITED HEALTHCARE PROV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080226000427 | KY | Practitioner - Hospitalist | 7012930084 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Louisville School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 895-8911
Hospital & facility affiliations
- Baptist Health Louisville
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41725 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine PLLC | Past | Accepting new patients | |
| Floyd Memorial Hospital and Health Services | Past | Accepting new patients | |
| Baptist Healthcare System Inc. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- Infectious Disease Physician
- Louisville, KY
- NPI 1003003351
-
- Urgent Care Clinic/Center
- New Albany, IN
- NPI 1447298542
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477545754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9203",
"city": "BELFAST",
"state": "ME",
"postal_code": "049159203",
"telephone_number": "502-895-9627",
"fax_number": "502-895-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 KRESGE WAY STE 308",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074637",
"telephone_number": "502-895-8911",
"fax_number": "502-895-8977"
}
],
"practiceLocations": [
{
"address_1": "2400 Eastpoint Pkwy",
"address_2": "Suite 550",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402234154",
"country_code": "US",
"telephone_number": "502-253-6630",
"fax_number": "502-253-6639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTON",
"first_name": "JOHN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "41725",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "41725",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200448900",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV#",
"identifier": "P00049026",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000063095G",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64117005",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROV#",
"identifier": "000000300382",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000548736",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROV",
"identifier": "352154103",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.